精炼细菌尿作为尿路整形术后并发症的危险因素:确定罪祸首
Carlos I Calvo1, Nathan Hoy2, Keith F Rourke2
1Division of Urology, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada; Departamento de Urología, Pontificia Universidad Católica de Chile, Santiago, Chile.
Urology
|February 14, 2024
概括
格拉姆阴性细菌和菌种类是尿路整形术后并发症的主要驱动因素. 患有来自其他微生物的细菌性尿症的患者可以在没有增加风险的情况下进行手术.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 手术前的细菌性尿尿是尿路整形术后并发症的已知危险因素.
- 识别导致这些并发症的特定微生物对于患者管理至关重要.
研究的目的:
- 为了确定哪些特定的细菌与尿路形成术后90天并发症的风险增加有关.
- 为了区分各种微生物物种在接受尿路造形手术的患者中所带来的风险.
主要方法:
- 进行尿路整形手术的1611名患者的回顾性审查 (08/2003-06/2021).
- 通过特定的殖民地数量定义的显著的手术前细菌性尿病 (混合的≥10^8 CFU/L,可识别的≥10^6 CFU/L).
- 统计分析 (基平方) 用于将90天的并发症 (Clavien ≥2) 与细菌类型联系起来.
主要成果:
- 23.2%的患者有显著的手术前细菌尿.
- 格拉姆阴性细菌 (例如大肠杆菌, Pseudomonas sp.) 和肠球菌 (Enterococcus sp.) 这两种病毒. 与更高的并发症率 (分别为14.2%和15.1%) 有关.
- 格兰阳性,格兰阳性细菌,混合生长和Candida与并发症增加无关.
结论:
- 格拉姆阴性菌根和菌种类是尿道成形术后与细菌尿相关的并发症的主要驱动因素.
- 患有其他微生物引起的细菌性尿病的患者可能可以在没有增加风险的情况下接受尿路造形术.
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